Chronic Obstructive Sleep Apnea Flashcards
Essentials of Diagnosis of what?
(1) Daytime somnolence or fatigue.
(2) History of loud snoring with witnessed apneic events.
(3) Overnight polysomnography demonstrating apneic episodes with hypoxemia.
Chronic obstructive sleep apnea
These clinical risk factors are for what?
(a) Advancing age
(b) Male Gender
(c) Obesity
(d) Craniofacial morphology or upper airway soft tissue abnormalities.
(e) Additional factors identified in some studies include smoking, nasal congestion,
menopause, and family history.
Chronic Obstructive Sleep Apnea
True/False
Rates of OSA are decreased in association with medical conditions, such as pregnancy, end-stage renal disease, congestive heart failure, chronic lung disease, posttraumatic stress disorder, and stroke
False
Rates are increased
True/False
Menopausal women appear to have a decreased risk of OSA compared with premenopausal women, independent of age and BMI.
False
increased risk
True/False
Smoking appears to increase the risk of OSA or at least aggravate preexisting symptoms.
True
Patients with OSA often report a family history of ____ or _______.
snoring or OSA
True/False
Craniofacial and upper airway soft tissue abnormalities each increase the likelihood of having or developing OSA.
-This best recognized in Asian patients where
obesity is not as obvious an issue
True
True/False
While a variety of substances and medications, including alcohol, benzodiazepines, and narcotics, may alleviate OSA, a causative link is unproven.
True
What is the questionnaire used by used by sleep apnea screeners?
STOP BANG Questionnaire
What does the STOP stand for in the STOP BANG OSA questionnaire?
(a) S (Snore): Yes or No
(b) T (Tired):
1) Do you feel fatigued during the day?
2) Do you wake up feeling like you haven’t slept?
(c) O (Obstruction):
1) Have you been told you stop breathing at night?
2) Do you gasp for air or choke while sleeping?
(d) P (Pressure):
1) Do you have blood pressure or on medications of high blood pressure?
What does the BANG stand for in the STOP BANG OSA questionnaire?
B (BMI):
- Is your BMI>28
A (Age):
- Are you older then 50
N (Neck):
- For males is you neck> 17 inches, For females is your neck>16 inches
G (Gender):
- Are you a male
If you answer is YES to ___ or more questions (categories) then you are high risk of having OSA and require referral for a sleep study.
three
Off of the OSA Questionnaire what is considered low risk of having OSA.
Answer YES to less than 3 questions
For low risk OSA when you can refer for a sleep study?
if there is other information that makes the diagnosis more likely to be OSA,
What is the first line diagnostic study when OSA is suspected?
In-laboratory polysomnography
